Impact of North American Institutions on Orthopedic Research in Low- and Middle-Income Countries

Kaeppler, Ericka von; Donnelley, Claire A.; Roberts, Heather J.; O’Hara, Nathan N.; Won, Nae; Shearer, David; Morshed, Saam

doi:10.1016/j.ocl.2019.11.004

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Orthopedic Clinics of North America

2020

DOI: 10.1016/j.ocl.2019.11.004

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Impact of North American Institutions on Orthopedic Research in Low- and Middle-Income Countries

Ericka von Kaeppler

Claire A. Donnelley

Heather J. Roberts

et al.

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Cited by 5 publications

(7 citation statements)

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“…In recent years, the global health movement has begun moving away from the semicolonial model of HIC-led research toward collaborative HIC-LMIC partnerships 16 . Such partnerships are founded on mutually beneficial relationships, with a commitment to develop and sustain research capacity and leadership within partnered institutions in LMICs 15,17 . These HIC-LMIC academic partnerships have been implemented successfully across the globe in many fields of medicine and surgery [18][19][20][21][22][23][24][25][26][27] .…”

mentioning

confidence: 99%

“…T H E J O U R N A L O F B O N E & JOINT SURGERY d J B J S . O R G VOLUME 106-A d NUMBER 10 d M AY15, 2024 …”

mentioning

confidence: 99%

“…This is likely due to the excessive clinical workloads that exist for surgeons in these regions and the disparities mentioned above 14 . Thus, partners in HICs can become an indispensable resource to those in LMICs by helping to source funding, sharing clinical and research experience, and providing research skills and resources to help start and support research in LMICs 15 .…”

mentioning

confidence: 99%

“…These HIC-LMIC academic partnerships have been implemented successfully across the globe in many fields of medicine and surgery [18][19][20][21][22][23][24][25][26][27] . North American institutions conducting global orthopaedic research have implemented various models of HIC-LMIC international academic research partnerships, successfully transferring research skills that lead to improved research capacity 15,28 . Importantly, existing literature has demonstrated that orthopaedic research conducted in the setting of an HIC-LMIC partnership is of greater quality and quantity than that conducted in settings where no such partnership exists 29,30 .…”

mentioning

confidence: 99%

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Best Practices for Developing International Academic Partnerships in Orthopaedics

Brown,

Flores,

Haonga

et al. 2023

Journal of Bone and Joint Surgery

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Traumatic and nontraumatic orthopaedic conditions are major contributors to global morbidity and account for the majority of life-years lived with disability worldwide. Additionally, the burden of musculoskeletal injuries has increased substantially over the past 3 decades. Unfortunately, in low and middle-income countries (LMICs), access to orthopaedic care is limited, leading to a disproportionate burden of disease. The Lancet Commission on Global Surgery has emphasized the urgent need for unified international commitment and research collaboration to achieve universal access to safe and affordable surgical care. However, conducting high-quality orthopaedic research in LMICs remains challenging as a result of disparities in training, access to resources, infrastructure, and equipment availability. Partnerships between high-income countries (HICs) and LMICs have emerged in recent decades as an effective approach to combatting some of these challenges. These partnerships aim to bridge the gaps by facilitating collaborative research and knowledge exchange. The establishment of successful partnerships requires a collaborative and reciprocal approach that starts with a clear understanding of mutual research aims and the availability of resources. Despite the potential benefits, various factors can make establishing such partnerships difficult. However, these partnerships can have a substantial impact in delivering quality orthopaedic education and research training, thus improving access to care in resource-limited environments. This paper represents the collaborative effort of multiple international academic orthopaedic surgeons with extensive experience in HIC-LMIC partnerships. Our aims were to outline the best practices for conducting orthopaedic research within these relationships and to provide guidance for future successful collaborations.

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mentioning

confidence: 99%

“…T H E J O U R N A L O F B O N E & JOINT SURGERY d J B J S . O R G VOLUME 106-A d NUMBER 10 d M AY15, 2024 …”

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Best Practices for Developing International Academic Partnerships in Orthopaedics

Brown,

Flores,

Haonga

et al. 2023

Journal of Bone and Joint Surgery

Self Cite

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“…Despite the poor availability of arthroscopy resources and training for LMIC surgeons, few studies have quantified the needs and implementation strategies for arthroscopy in LMICs 4,11,12 . Many models exist for international partnerships (ranging from short-term mission-based initiatives to longterm cooperative partnerships 13 ), but studies show that a "train-the-trainer" approach is more sustainable 4,13 . In a 2012 case study, Tibor and Hoenecke identified considerations for implementing arthroscopy in LMICs 4 .…”

mentioning

confidence: 99%

Establishing Sustainable Arthroscopy Capacity in Low- and Middle-Income Countries (LMICs) through High-Income Country/LMIC Partnerships

et al. 2022

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Background:Disparities exist in treatment modalities, including arthroscopic surgery, for orthopaedic injuries between high-income countries (HICs) and low- and middle-income countries (LMICs). Arthroscopy training is a self-identified goal of LMIC surgeons to meet the burden of musculoskeletal injury. The aim of this study was to determine the necessary “key ingredients” for establishing arthroscopy centers in LMICs in order to build capacity and expand training in arthroscopy in lower-resource settings.Methods:This study utilized semi-structured interviews with orthopaedic surgeons from both HICs and LMICs who had prior experience establishing arthroscopy efforts in LMICs. Participants were recruited via referral sampling. Interviews were qualitatively analyzed in duplicate via a coding schema based on repeated themes from preliminary interview review. Subgroup analysis was conducted between HIC and LMIC respondents.Results:We identified perspectives shared between HIC and LMIC stakeholders and perspectives unique to 1 group. Both groups were motivated by opportunities to improve patients’ lives; the LMIC respondents were also motivated by access to skills and equipment, and the HIC respondents were motivated by teaching opportunities. Key ingredients identified by both groups included an emphasis on teaching and the need for high-cost equipment, such as arthroscopy towers. The LMIC respondents reported single-use materials as a key ingredient, while the HIC respondents reported local champions as crucial. The LMIC respondents cited the scarcity of implants and shaver blades as a barrier to the continuity of arthroscopy efforts.Conclusions:Incorporation of the identified key ingredients, along with leveraging the motivations of the host and the visiting participant, will allow future international arthroscopy partnerships to better match proposed interventions with the host-identified needs.Clinical Relevance:Arthroscopy is an important tool for treatment of musculoskeletal injury. Increasing access to arthroscopy is an important goal to achieve greater equity in musculoskeletal care globally. Developing successful partnerships between HICs and LMICs to support arthroscopic surgery requires sustained relationships that address local needs.

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International Pediatric Orthopedics Research: The POSNA POGO Scholars Initiative

Su,

Mo,

Thacker

et al. 2024

Journal of the Pediatric Orthopaedic Society of North America

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Impact of North American Institutions on Orthopedic Research in Low- and Middle-Income Countries

Cited by 5 publications

References 87 publications

Best Practices for Developing International Academic Partnerships in Orthopaedics

Best Practices for Developing International Academic Partnerships in Orthopaedics

Establishing Sustainable Arthroscopy Capacity in Low- and Middle-Income Countries (LMICs) through High-Income Country/LMIC Partnerships

International Pediatric Orthopedics Research: The POSNA POGO Scholars Initiative

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